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psnet.ahrq.gov/issue/incorporating-medication-indications-prescribing-process
May 01, 2019 - Commentary
Emerging Classic
Incorporating medication indications into the prescribing process.
Citation Text:
Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.…
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psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist
April 27, 2022 - Commentary
Time out! Rethinking surgical safety: more than just a checklist.
Citation Text:
Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600.
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psnet.ahrq.gov/issue/barcode-medication-administration-software-technology-use-emergency-department-and-medication
November 04, 2015 - Study
Barcode medication administration software technology use in the emergency department and medication error rates.
Citation Text:
Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency department and medication error rates. Comput Inform Nurs.…
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psnet.ahrq.gov/issue/outcomes-recent-patient-safety-education-interventions-trainee-physicians-and-medical
January 15, 2014 - Review
The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review.
Citation Text:
Kirkman MA, Sevdalis N, Arora S, et al. The outcomes of recent patient safety education interventions for trainee physicians and medical s…
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psnet.ahrq.gov/issue/augmenting-health-care-failure-modes-and-effects-analysis-simulation
December 18, 2024 - Study
Augmenting health care failure modes and effects analysis with simulation.
Citation Text:
Nielsen DS, Dieckmann P, Mohr M, et al. Augmenting health care failure modes and effects analysis with simulation. Simul Healthc. 2014;9(1):48-55. doi:10.1097/SIH.0b013e3182a3defd.
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psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and
July 23, 2010 - Commentary
Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills.
Citation Text:
Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects …
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psnet.ahrq.gov/issue/relationship-safety-climate-and-safety-performance-hospitals
February 04, 2009 - Study
Relationship of safety climate and safety performance in hospitals.
Citation Text:
Singer SJ, Lin S, Falwell A, et al. Relationship of safety climate and safety performance in hospitals. Health Serv Res. 2009;44(2 Pt 1):399-421. doi:10.1111/j.1475-6773.2008.00918.x.
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psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
February 15, 2023 - Review
Surgical site infection prevention: a review.
Citation Text:
Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075.
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psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion
September 07, 2022 - Commentary
Dynamics of dignity and safety: a discussion.
Citation Text:
Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159.
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psnet.ahrq.gov/issue/structured-judgement-method-enhance-mortality-case-note-review-development-and-evaluation
May 27, 2011 - Study
A structured judgement method to enhance mortality case note review: development and evaluation.
Citation Text:
Hutchinson A, Coster JE, Cooper KL, et al. A structured judgement method to enhance mortality case note review: development and evaluation. BMJ Qual Saf. 2013;22(12). do…
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psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations
June 29, 2022 - Commentary
How to mitigate the effects of cognitive biases during patient safety incident investigations.
Citation Text:
Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient safety incident investigations. Jt Comm J Qual Patient Saf. 20…
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psnet.ahrq.gov/issue/beyond-clinical-engagement-pragmatic-model-quality-improvement-interventions-aligning
April 24, 2018 - Review
Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities.
Citation Text:
Pannick S, Sevdalis N, Athanasiou T. Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clini…
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psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care
September 02, 2009 - Review
Interventions to increase clinical incident reporting in health care.
Citation Text:
Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2…
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psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric
September 28, 2010 - Study
Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit.
Citation Text:
Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care …
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psnet.ahrq.gov/issue/thirty-day-outcomes-support-implementation-surgical-safety-checklist
April 10, 2024 - Study
Thirty-day outcomes support implementation of a surgical safety checklist.
Citation Text:
Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012…
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psnet.ahrq.gov/issue/registered-nurses-perceptions-safe-care-overcrowded-emergency-departments
March 23, 2022 - Study
Emerging Classic
Registered nurses' perceptions of safe care in overcrowded emergency departments.
Citation Text:
Eriksson J, Gellerstedt L, Hillerås P, et al. Registered nurses' perceptions of safe care in overcrowded emergency departments. J Clin Nurs. 2…
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psnet.ahrq.gov/issue/systematic-review-behavioural-marker-systems-healthcare-what-do-we-know-about-their
January 23, 2019 - Review
A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application?
Citation Text:
Dietz AS, Pronovost P, Benson KN, et al. A systematic review of behavioural marker systems in healthcare: what do we know about their a…
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psnet.ahrq.gov/issue/exploring-association-between-organizational-safety-climate-failure-rescue-and-mortality
January 26, 2022 - Study
Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units.
Citation Text:
Bacon CT, McCoy TP, Henshaw DS. Exploring the Association Between Organizational Safety Climate, Failure to Rescue, and Mortality in Inpatie…
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psnet.ahrq.gov/issue/evaluation-measurement-system-assess-icu-team-performance
November 17, 2014 - Study
Evaluation of a measurement system to assess ICU team performance.
Citation Text:
Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431.
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psnet.ahrq.gov/issue/effect-cluster-randomised-team-training-intervention-adverse-perinatal-and-maternal-outcomes
April 04, 2018 - Study
Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study.
Citation Text:
Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcome…